Borgi Aida, Bouziri Asma, Boujelbene Nedia, Sghairoun Nedia, Belhadj Serra, Benjeballah Najla
1 PICU-Children's Hospital of Tunis, Tunis, Tunisia.
Fetal Pediatr Pathol. 2014 Apr;33(2):119-22. doi: 10.3109/15513815.2013.850133. Epub 2013 Dec 13.
Perforated Meckel's diverticulum (MD) in a preterm baby is very rare. We report a case of a very preterm baby, born at 29-week gestation, with a birth weight of 1400 g, admitted in the third hour of life to our intensive care unit (ICU) for respiratory distress syndrome with abdominal distention. An abdominal radiograph showed a pneumoperitoneum. Laparotomy revealed Meckel's perforation. The baby was discharged healthy at the age of 16 days. MD should be kept in mind as one cause of an acute abdomen in preterm neonates mimicking necrotizing enterocolitis. To our knowledge, our patient is the third reported case described in the literature and the first one revealed at birth.
早产婴儿发生梅克尔憩室穿孔非常罕见。我们报告一例极早产婴儿，孕29周出生，出生体重1400克，出生后3小时因呼吸窘迫综合征合并腹胀入住我们的重症监护病房（ICU）。腹部X线片显示有气腹。剖腹手术发现梅克尔憩室穿孔。该婴儿16天时健康出院。梅克尔憩室穿孔应作为早产新生儿急性腹痛的一个原因予以考虑，其表现类似坏死性小肠结肠炎。据我们所知，我们的患者是文献中报道的第三例病例，也是出生时就被发现的第一例。
